Where do you start? What do you do when a Care & Quality Commission report lands, reporting on your Trust, which makes for difficult reading? It's perhaps slightly weird, having done a blog on this before back in June 2016. The report would suggest a further regression and there are always many emotions that emerge out of that.

I think the NHS has now been through enough of the fallacy that is its view of the CQC. Reports became something to be shared widely and celebrated if it was a good one and ignored with disdain if it was negative.

It is but a natural phenomena to look at bad data or results and conveniently label it as a cock up or a conspiracy. I know it, I have done it many times before in my career. I recall the days of poor amputation data.., surely it couldn't be us, could it?

And as much as some would perhaps want it, this blog isn't a forum to go through the whys and hows of where we are. It's about what happens next.

The report is what it is, and as an organisation, it's time to say there are many instances where we have fallen short. The Trust has a new CEO and MD in place and I will be honest, so far, their presence, visibility and most importantly, the frankness of accepting the report as it is, has been welcome, if not endearing. Sometimes you just have to, and rebuild again.

History nowadays seem to have a very interesting way of viewing leaders. We appear to remember them more by their foibles and failings rather than their successes.

Maybe take an example of British prime ministers over the years. Would history have judged Churchill as kindly as they have in an era of 24 hour news, social media etc? I very much doubt so. Our NHS leaders are no different I suspect. To read more, click here.

People with type 2 diabetes who take sodium-glucose cotransporter-2 (SGLT2) inhibitors are not at risk of acute kidney injury (AKI) despite concerns, researchers have said.

The medications have been shown to improve cardiovascular and renal outcomes in those who have type 2 diabetes, however there have been medical alerts relating to the treatment. To read more, click here.

A leading diabetes specialist nurse organisation has published management guidance on diabetes and enteral feeding.

TREND-UK has released the booklet in a bid to help people with diabetes established on an enteral feeding regimen, and those who care for them, manage their condition safely and effectively. To read more, click here.

A low-carb diet which includes a moderate intake of fat, fruit and vegetables lowers the risk of death, according to research.

The findings of the Prospective Urban Rural Epidemiology (PURE) study, which was carried out across 18 countries and five continents, showed those who ate three to five servings of fruit, vegetables and legumes a day, lowered their risk of death considerably. To read more, click here.

The latest research findings in the field of diabetes are set to be unveiled next week at one of the largest conferences for professionals worldwide.

Scientists, physicians, students, postdocs and nurses are set to attend the 47th European Association for the Study of Diabetes (EASD) Annual Meeting in Lisbon on Monday, September 11 and Tuesday, September 12. To read more, click here.

Keith Vaz, MP and chairman of the All Party Parliamentary Group for Diabetes, will deliver a keynote session at a major conference about the condition, it has been announced.

Organisers of the Diabetes Professional Care 2017 (DPC2017) event have confirmed the politician will present a talk entitled ‘Creating the Diabetes Village – Prevention is Better than Cure’ where he will discuss how it takes a ‘village’ of healthcare professionals to ensure people with diabetes get the best care. To read more, click here.

HbA1c levels recorded from the first trimester of a pregnancy are not sufficient enough to diagnose gestational diabetes (GDM), researchers have said.

Despite that, the team said the use of a higher and lower threshold could simplify the diagnostic process by reducing the number of oral glucose tolerance tests, associated costs and the inconvenience for people. To read more, click here.

The new international guidance on diabetes and frailty will be unveiled at a conference taking place later this month.

The schedule for the 4th National Conference of the Older People’s Diabetes Network (OPDN) has now been unveiled and will also feature a talk from Professor Angus Forbes, chair of the Federation of European Nurses in Diabetes (FEND) at the Florence Nightingale School of Nursing and Midwifery at King’s College London. To read more, click here.